Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.12 / $11.48 / $16.22	Facility	26	$9.12	$11.48	$16.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $91.20	Professional		$32.36	$48.98	$91.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $15.49 / $29.51	Professional	26	$8.91	$15.49	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $33.88 / $61.66	Professional	TC	$21.88	$33.88	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.88 / $66.07	Professional		$23.44	$33.88	$66.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.00 / $16.98	Professional	26	$8.13	$10.00	$16.98
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $26.30 / $40.74	Professional	TC	$20.42	$26.30	$40.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $81.28	Professional		$38.02	$47.86	$81.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $15.85 / $25.12	Professional	26	$10.47	$15.85	$25.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $30.20 / $52.48	Professional	TC	$26.30	$30.20	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $45.71 / $70.79	Professional		$34.67	$45.71	$70.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $13.80 / $21.38	Professional	26	$10.23	$13.80	$21.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $31.62 / $47.86	Professional	TC	$24.55	$31.62	$47.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $20.42 / $20.42	Professional	26	$20.42	$20.42	$20.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $42.66 / $72.44	Professional		$33.11	$42.66	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.59 / $21.88	Professional	26	$10.00	$12.59	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $29.51 / $51.29	Professional	TC	$22.91	$29.51	$51.29